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[获得性免疫缺陷综合征的神经系统并发症:里约热内卢联邦大学克莱门蒂诺·弗拉加·菲略大学医院的经验]

[Neurological complications in acquired immunodeficiency syndrome: experience at the Hospital Universitario Clementino Fraga Filho-Universidade Federal do Rio de Janeiro].

作者信息

Puccioni-Sohler M, Corrêa R B, Perez M A, Schechter M, Ramos Filho C, Novis S A

机构信息

Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil.

出版信息

Arq Neuropsiquiatr. 1991 Jun;49(2):159-63. doi: 10.1590/s0004-282x1991000200008.

Abstract

The frequency of neurological manifestations was evaluated in 653 HIV infected patients admitted in a university hospital in Rio de Janeiro city, Brazil, in the 1985-1989 period. A total of 172 (26%) patients developed neurological symptoms. Central nervous system complications included: cerebral toxoplasmosis (80), cryptococcal meningitis (57), subacute encephalitis (17), tuberculosis (8) and aseptic meningitis (2), progressive multifocal leukoencephalopathy (2) and vacuolar myelopathy (6). Peripheral neuropathy occurred in three cases. The clinical and tomographic aspects were analysed. The majority of the patients died within six months after the onset of the neurological disease.

摘要

1985年至1989年期间,对巴西里约热内卢市一家大学医院收治的653例HIV感染患者的神经学表现频率进行了评估。共有172例(26%)患者出现神经症状。中枢神经系统并发症包括:脑弓形虫病(80例)、隐球菌性脑膜炎(57例)、亚急性脑炎(17例)、结核病(8例)和无菌性脑膜炎(2例)、进行性多灶性白质脑病(2例)和空泡性脊髓病(6例)。3例出现周围神经病变。分析了临床和断层扫描方面的情况。大多数患者在神经疾病发作后六个月内死亡。

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